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COMMUNITY CARE POCATELLO
NPI 1538517156
Family Medicine in Pocatello, ID

Active since May 25, 2016
1595 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 233-0032 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Care Pocatello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE POCATELLO (NPI 1538517156) is a healthcare organization registered as a family medicine in Pocatello, Idaho and active in the NPI registry since May 2016. The organization lists Joshua Tolman, Cao, as its authorized official.

NPPES Registry Identity

NPI1538517156
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCC POCATELLO LLC
Location Address1595 YELLOWSTONE AVEPocatello, ID 83201-4203
Mailing Address2325 Coronado StIdaho Falls, ID 83404-7407 · (208) 557-2700
Phone(208) 233-0032
Organization SubpartYesParent: Mountain View Hospital Llc
Authorized OfficialJoshua TolmanCao · (208) 557-2700
Enumeration DateMay 25, 2016
✔ NPI 1538517156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1595 YELLOWSTONE AVE, Pocatello, ID 83201
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Other Names 1

Doing Business AsCommunity Care Pocatello

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY CARE, PLLC
Family Medicine
1595 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 233-0032
COMMUNITY CARE POCATELLO PLLC
Clinic/Center (Urgent Care)
1595 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 233-0032
MOUNTAIN VIEW HOSPITAL LLC
Pain Medicine (Pain Medicine)
1595 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 522-7246
MR. JUSTUS FLIN LAMBSON PA-C
Physician Assistant
1595 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 233-0032
AMBER RAE HAYS
Physician Assistant
1595 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 233-0032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cc Pocatello LLC's NPI number?

The NPI number for Cc Pocatello LLC is 1538517156. It was assigned to this organization in the NPPES registry on May 25, 2016. The provider is doing business as Community Care Pocatello.

Where is Cc Pocatello LLC located?

Cc Pocatello LLC is located at 1595 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 233-0032.

What is Cc Pocatello LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Cc Pocatello LLC accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Cc Pocatello LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cc Pocatello LLC was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.